Job Description

Payer Clearance Specialist

Silver Spring, Maryland

Onsite Position

Description:

Verifying Authorizations for the patients coming in for surgeries, making sure they have everything they need to charge them on the back end. Authorizations will be in a variety of specialties including Genetic Testing, Radiology, Surgery, Cardiology and others.

Codes will be provided, so they don\'t have to be an expert on those, but familiarity with CPT and ICD 10 codes is necessary. They will be reaching out to the insurance companies to verify insurance and verify coverage constantly.

They will need to start from the start submitting Authorizations and the process from start to finish. They will also be auditing appeals and denials. They may also have to write their own appeals.

Experience specifically in out of state Medicaid\'s. For surgery and clinic visits. This new program we are scheduling visits for will require us to submit for both the clinic visit and surgical visit at the same time (not our usual model).

Organization- They will need to organize by upcoming date for visit. So needing to get the ones that are coming up the fastest cleared. They typically have everything needing to be cleared a week out.

Skills:

Insurance, Benefit verification, Prior authorization, Claims resolution, Revenue cycle, Coordination of benefits, Authorization, Medical Billing, Insurance Verification, and Cerner

Top Skills Details:

Insurance, Benefit verification, Prior authorization, Claims resolution, Revenue cycle, and Coordination of benefits

Additional Skills & Qualifications:

Pediatrics experience preferred

3+ years experience in authorizations

Organized in process

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We\'ll never contact you via Gmail, Telegram, or WhatsApp and we\'ll never solicit money from you.

At Aston Carter, we\'re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients\' capabilities by seeking solvers and delivering solutions to address today\'s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

Aston Carter